JESSICA WOMACK (NPI# 1679807416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679807416 |
| Entity Type | Individual |
| Full Name | JESSICA WOMACK |
| Practice Address |
Rr 4 Box 139 Broken Bow OK 74728-9467 |
| Mailing Address |
Po Box 1383 Broken Bow OK 74728-1383 |
| Practice Telephone | 5805842709 |
| Mailing Telephone | 5805842709 |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2009-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124832 | Jessica Womack | Family Medicine | 527 W Hurd Rd, Monroe, MI 48162-9205 | 2020-05-01 |
| 1558898643 | Jessica Womack | Occupational Therapist | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2017-05-19 |
| 1700110582 | Jessica Diane Womack | Physician Assistant | 13700 St Francis Blvd, Suite 103, Midlothian, VA 23114-3222 | 2009-09-25 |
| Street Address |
RR 4 BOX 139 |
| City | BROKEN BOW |
| State | OK |
| Zip Code | 74728-9467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732926 | Natorrie D'atra Morris | Nurse Practitioner | Mccurtain Family Medical Clinic, 800 N Park Dr, Broken Bow, OK 74728 | 2019-07-17 |
| 1477925535 | Rebecca Stover | Nurse Practitioner | 813 Veterans Way, Broken Bow, OK 74728 | 2015-10-28 |
| 1023366614 | Tlc Family Clinic, LLC | Clinic/Center | 700 W. Jones, Tlc Family Clinic, LLC, Broken Bow, OK 74728 | 2012-08-29 |
| 1699925867 | Faith Lucille Phillips | Psychologist | 411 S. Park Drive, Broken Bow, OK 74728 | 2008-09-24 |
| 1265057251 | Heather Renee Payne | Counselor | 205 N. Main St, Broken Bow, OK 74728 | 2020-06-15 |
| 1396244109 | Erika Ann White | Counselor | 205 N Main St, Broken Bow, OK 74728 | 2018-02-07 |
| 1366954661 | Black Oak Clinic LLC | Clinic/Center | 110 W 1st St, Broken Bow, OK 74728 | 2017-10-26 |
| 1922467505 | Stover Family Clinic | Clinic/Center | 813 Veterans Way, Broken Bow, OK 74728 | 2016-02-11 |
| 1568820140 | Megan Elizabeth Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728 | 2016-02-10 |
| 1578797221 | Kenneth G Ericksen | Chiropractor | 1605 S Park Dr, Broken Bow, OK 74728 | 2009-05-11 |
| Find all providers in zip 74728 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847472 | Jill Saranga | Social Worker | 8024 Blackbird Ln, Edmond, OK 73034-9029 | 2020-10-01 |
| 1831705854 | Mercedes Noel Simpson | Social Worker | 5796 W 1st St, Tulsa, OK 74127-5724 | 2020-09-16 |
| 1013521368 | Julie Christina Johnston | Social Worker | 514 Sandpiper Ln, Norman, OK 73071-6152 | 2020-09-03 |
| 1598379927 | Paige M Frye | Social Worker | 347606 E 800 Rd, Cushing, OK 74023-5382 | 2020-09-02 |
| 1285242735 | Marna Jane Gonzalez Schmenk | Social Worker | 631 N Brown St, Sapulpa, OK 74066-3229 | 2020-07-21 |
| 1316555345 | Margaret Z Shelton | Social Worker | 418 S 72nd East Ave, Tulsa, OK 74112-1918 | 2020-07-15 |
| 1255958955 | Samantha Toops | Social Worker | 1638 S Carson Ave Apt 718, Tulsa, OK 74119-4238 | 2020-06-29 |
| 1003439100 | Carolyn Y Thomas | Social Worker | 2317 W Gary St, Broken Arrow, OK 74012-7436 | 2020-05-22 |
| 1548881436 | Landyce Xavia Smith | Social Worker | 2212 Westpark Dr, Norman, OK 73069-4097 | 2020-05-01 |
| 1427678499 | Kelly Renee Merrick | Social Worker | 7817 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN BOW |
| Zip Code | 74728 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.